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Active NPI 1710554274 Individual Practitioner Male Practitioner

Jacob William Fishbaugh , PA-C

Physician Assistant • Traverse City, MI

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Jacob Fishbaugh, PA-C is a certified Physician Assistant practicing in Traverse City, MI. With approximately 5 years of clinical experience since completing medical education in 2021, Jacob Fishbaugh delivers high-quality medical care to the local community at 3537 W FRONT ST STE A.

Jacob Fishbaugh maintains professional affiliations with Munson Healthcare Otsego Memorial Hospital, Munson Medical Center and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, hemodialysis procedure with physician evaluation, subsequent hospital care with moderate levelof medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3537 W Front St Ste A

Traverse City, MI 496847942

Telephone 2319350338
Fax 2319350569
Associated Practice Facility / Clinic
🏢 Diane Parsons, Md, Pllc Facility NPI 1225142854

Medicare Profile & Education

Medical School

Other

Graduation Year

2021

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Traverse City, MI

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
5 Yrs -7.2 yrs vs City Avg
City Avg: 12.2 Yrs
State Avg: 12.2 Yrs
Regional Practice Density
144 Specialists

Practicing in Traverse City, MI (7057 Statewide)

Telehealth Adoption Rate
17.4% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
48.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Fishbaugh (5 Years) 5 Yrs
Traverse City Specialty Average (12.2 Years) 12.2 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
76 50 $191.74 $103.36
90935 Hemodialysis procedure with physician evaluation
72 36 $174.00 $57.39
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
57 33 $141.16 $64.00
99213 Established patient office or other outpatient visit, typically 15 minutes
21 20 $133.33 $73.19
99443 Telephone medical discussion with physician, 21-30 minutes
20 13 $98.25 $93.75
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes
14 11 $212.86 $96.32

Medical Specialties & State Licenses

CMS Verified: 2025-08-06
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License GA 10434

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Munson Medical Center

3537 W Front St, Traverse City, MI 496847942

Phone: 2319358330

Munson Medical Center

1400 Medical Campus Dr, Traverse City, MI 496847823

Phone: 2319358000

Munson Medical Center

1105 6th St, Traverse City, MI 496842345

Phone: 2319357227

Munson Medical Center

1105 6th St, Traverse City, MI 496842345

Phone: 2319355000

Munson Healthcare Otsego Memorial Hospital

1619 Anderson Rd, Petoskey, MI 497709256

Phone: 2319350338

Munson Healthcare Otsego Memorial Hospital

829 N Ctr Ave, Gaylord, MI 497351595

Phone: 9897317708

Munson Medical Center

4062 W Royal Dr, Traverse City, MI 496848965

Phone: 2319350338

Munson Medical Center

1121 6th St, Traverse City, MI 496842345

Phone: 2313928280

Secondary Practice Locations

334 Smith Ave

Thomasville, GA 317925533

Phone: 5749046141

419 S Coral St

Kalkaska, MI 496462503

Phone: 2312587530

829 N Center Ave Ste 210

Gaylord, MI 497351599

Phone: 3193503382

224 Park Ave

Frankfort, MI 496359658

Phone: 2319350338

1619 Anderson Rd

Petoskey, MI 497709256

Phone: 2319350338

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

10 Associated Practitioners
Dr. Jonathan Ducastel , MD

Internal Medicine - Nephrology

NPI 1073956694

Doctor of Medicine (M.D.)

Molly Kidner , FNP-BC

Nurse Practitioner - Family

NPI 1083035521

Family Nurse Practitioner (Board Certified)

Dr. Jessica Slocum , MD

Internal Medicine - Nephrology

NPI 1144342262

Doctor of Medicine (M.D.)

Dr. Robert Lefebvre , MD

Internal Medicine - Nephrology

NPI 1154489607

Doctor of Medicine (M.D.)

Holly Hinds , NP

Nurse Practitioner - Adult Health

NPI 1346733268

Nurse Practitioner

Dr. John Stanifer , MD

Internal Medicine - Nephrology

NPI 1427373232

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location June 22, 2023

Registered at 3537 W FRONT ST STE A, TRAVERSE CITY, MI 496847942 (Tel: 2319350338)

📍
Updated Business Mailing Address June 22, 2023

Registered at 1105 SIXTH ST, TRAVERSE CITY, MI 496842386 (Tel: 2313920773)

NPI Profile Active June 04, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location June 04, 2021

Registered at 334 SMITH AVE, THOMASVILLE, GA 317925533 (Tel: 5749046141)

📍
Updated Business Mailing Address June 04, 2021

Registered at 30087 REDFIELD ST, NILES, MI 491205963 (Tel: 5749046141)

👤
Provider Name / Credentials Updated June 04, 2021

Recorded as JACOB FISHBAUGH, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 04, 2021

Physician Assistant (License #10434 in GA)

🟢
Initial NPI Registration & Enumeration June 04, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1710554274
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 04, 2021
Last Update: August 06, 2025
Sole Proprietor: No

Mailing Address

1105 Sixth St

Traverse City, MI 496842386

Phone: 2313920773

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.